Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1538906367 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1538906367","entity_type_code":"2"} |
| pac_id | 5799204277 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1538906367","rule":"D-PECOS","enrlmt_id":"O20250528001986","pecos_asct_cntl_id":"5799204277"} |
| pecos_enrlmt_id | O20250528001986 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1538906367","rule":"D-PECOS","enrlmt_id":"O20250528001986"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | DOMINIC FRANK TUTERA 2016 IRRV TR (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2024","percentage_ownership":17.75} evidence: {"rule":"D-OWNER","owner_pac":"0345521225","source_pk":272043,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.75,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | MARY MARGARET CUNNINGHAM 2009 IRRV TR (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446424394","source_pk":272044,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | TUTERA GROUP, INC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/30/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648444562","source_pk":272046,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | GRAND MEADOWS SENIOR LIVING & HEALTH CARE PROPERTY LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"09/30/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1052830536","source_pk":272047,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | SEITERA LP LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"85","association_date":"10/01/2024","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"1052830544","source_pk":272048,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"85","role_text_owner":"DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | RANDALL L BLOOM | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375561632","source_pk":272049,"type_owner":"I","enrollment_id":"O20250528001986","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | OWNER PAC 3870012362 (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2024","percentage_ownership":1} evidence: {"rule":"D-OWNER","owner_pac":"3870012362","source_pk":272051,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":1,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | CONSTACE MARIE MENDOLIA 2009 IRRV TR (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4284808106","source_pk":272052,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | JOSEPH C TUTERA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5193632768","source_pk":272054,"type_owner":"I","enrollment_id":"O20250528001986","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | KILEY A BROOKS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5496973844","source_pk":272056,"type_owner":"I","enrollment_id":"O20250528001986","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | SUSAN JEWELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5597284083","source_pk":272058,"type_owner":"I","enrollment_id":"O20250528001986","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | LAURA CIRESE TUTERA 2016 IRRV TR (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2024","percentage_ownership":17.75} evidence: {"rule":"D-OWNER","owner_pac":"5991086878","source_pk":272059,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.75,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | OWNER PAC 6507385093 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/31/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6507385093","source_pk":272060,"type_owner":"I","enrollment_id":"O20250528001986","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | WALNUT CREEK MANAGEMENT COMPANY LLC (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6608788138","source_pk":272061,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | JANET C WARREN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"10/01/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901064286","source_pk":272063,"type_owner":"I","enrollment_id":"O20250528001986","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | HANNAH MARIE TUTERA 2016 IRRV TR (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2024","percentage_ownership":17.75} evidence: {"rule":"D-OWNER","owner_pac":"6901187889","source_pk":272065,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.75,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | OWNER PAC 7315466802 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"10/31/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7315466802","source_pk":272066,"type_owner":"I","enrollment_id":"O20250528001986","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
| ← owns | JOSEPH CHARLES TUTERA JR 2016 IRRV TR (MO) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"86","association_date":"10/01/2024","percentage_ownership":17.75} evidence: {"rule":"D-OWNER","owner_pac":"9537440417","source_pk":272067,"type_owner":"O","enrollment_id":"O20250528001986","role_code_owner":"86","role_text_owner":"INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":17.75,"enrollment_organization_name":"GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1538906367 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2024-07-10 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | GRAND MEADOWS SENIOR LIVING & HEALTH CARE LLC | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | IA | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1538906367: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…